“As a younger man, I burned with enthusiasm for my work: I was to be a warrior, the champion of reviled or exiled passions. I would assail the forces marshaled to enslave these passions, the tyrannies imposed in the name of factitious moralities, the sadistic compulsions disguised as highest law. I would be, in my silent, expensive way, the apostle of a thrilling freedom. When did it abandon me, that faith? How often have I heard it repeated, nearly verbatim, that commonplace of every educated, sophisticated patient: I don’t believe in judgment, in divine judgment; I don’t believe that someone is sitting up in the sky frowning down at me. In the past I would have thought: Yes, you do— and that is your problem. In the fullness of time I would assist them in shaking free of this secret conviction. Now, though, my calling has deserted me. The premise wasn’t wrong: most patients suffer more than they know from obscure inner persecutions. What I did not realize, however, was how deeply I myself believed in such a judgment, how along with my patients I embraced with inalienable fidelity that very conviction. This conviction did not presume a personified judge— bearded, severe, enthroned. It presumed instead a law, inhuman, abstract, and implacable, the law to which we owed our lives, the law to which we owed our reckoning. Failure, worth, crisis, potential, fulfillment. Every patient returns to these words again and again. They are the words from which my profession is made, and each of these words presumes a judgment, a mark attained or missed. No one enters my office who does not believe in his very marrow that judgment, some judgment, is absolute and fixed. The person I am meant to be: that mythical creature, that being whom each patient longs and dreads to become, is itself a judgment, a standard one does not devise but to which one must account. What or who set the standard? What or who measured the body for its soul? What or who meant them to be the people they were meant to be? I am certain: belief in judgment is not what my patients reject or grow out of. The belief in judgment is what they cling to. Beneath their affections and afflictions, judgment is their one true love.”